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Individual

CRYSTAL EDGE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
860 N ORANGE AVE, ORLANDO, FL 32801-1027
(321) 414-3799
Mailing address
305 W POPLAR ST, SAN ANTONIO, TX 78212-5582
(321) 414-3799

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
02/23/2026
Last updated
02/23/2026
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